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BURGETT CAMPER SALES, INC.

Company Details

Entity Name: BURGETT CAMPER SALES, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Goodstanding
Date Formed: 24 Jan 1992
Company Number: CORP_56689702
File Number: 56689702
Type of Business: All Inclusive Purpose
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BURGETT CAMPER SALES SOLO 401K 2016 363803852 2017-10-12 BURGETT CAMPER SALES, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 441210
Sponsor’s telephone number 3097993402
Plan sponsor’s address 9608 ROUTE 150, COAL VALLEY, IL, 612409755
BURGETT CAMPER SALES SOLO 401K 2015 363803852 2016-09-29 BURGETT CAMPER SALES, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 441210
Sponsor’s telephone number 3097993402
Plan sponsor’s address 9608 ROUTE 150, COAL VALLEY, IL, 612409755
BURGETT CAMPER SALES SOLO 401K 2014 363803852 2015-07-29 BURGETT CAMPER SALES, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 441210
Sponsor’s telephone number 3097993402
Plan sponsor’s address 9608 ROUTE 150, COAL VALLEY, IL, 61240
BURGETT CAMPER SALES SOLO 401K 2013 363803852 2014-07-24 BURGETT CAMPER SALES, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 441210
Plan sponsor’s address 9608 ROUTE 150, COAL VALLEY, IL, 61240
BURGETT CAMPER SALES SOLO 401K 2012 363803852 2013-10-01 BURGETT CAMPER SALES, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 441210
Sponsor’s telephone number 3097993402
Plan sponsor’s address 9608 ROUTE 150, COAL VALLEY, IL, 61240

Signature of

Role Plan administrator
Date 2013-10-01
Name of individual signing KENT KLAUER
Valid signature Filed with authorized/valid electronic signature
BURGETT CAMPER SALES SOLO 401K 2011 363803852 2012-10-11 BURGETT CAMPER SALES, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 441210
Sponsor’s telephone number 3097993402
Plan sponsor’s address 9608 ROUTE 150, COAL VALLEY, IL, 61240

Plan administrator’s name and address

Administrator’s EIN 363803852
Plan administrator’s name BURGETT CAMPER SALES, INC
Plan administrator’s address 9608 ROUTE 150, COAL VALLEY, IL, 61240
Administrator’s telephone number 3097993402

Signature of

Role Plan administrator
Date 2012-10-11
Name of individual signing KENT KLAUER
Valid signature Filed with authorized/valid electronic signature
BURGETT CAMPER SALES SOLO 401K PLAN 2010 363803852 2011-10-17 BURGETT CAMPER SALES, INC 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 441210
Sponsor’s telephone number 3097993402
Plan sponsor’s address 9608 ROUTE 150, COAL VALLEY, IL, 61240

Plan administrator’s name and address

Administrator’s EIN 363803852
Plan administrator’s name BURGETT CAMPER SALES, INC
Plan administrator’s address 9608 ROUTE 150, COAL VALLEY, IL, 61240
Administrator’s telephone number 3097993402

Signature of

Role Plan administrator
Date 2011-10-17
Name of individual signing KENT KLAUER
Valid signature Filed with authorized/valid electronic signature
BURGETT CAMPER SALES SOLO 401K PLAN 2009 363803852 2010-10-13 BURGETT CAMPER SALES, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 441210
Sponsor’s telephone number 3097993402
Plan sponsor’s mailing address 9608 RT 150, COAL VALLEY, IL, 61240
Plan sponsor’s address 9608 RT 150, COAL VALLEY, IL, 61240

Plan administrator’s name and address

Administrator’s EIN 363803852
Plan administrator’s name BURGETT CAMPER SALES, INC.
Plan administrator’s address 9608 RT 150, COAL VALLEY, IL, 61240
Administrator’s telephone number 3097993402

Number of participants as of the end of the plan year

Active participants 1
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits 0
Number of participants with account balances as of the end of the plan year 1
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 0

Signature of

Role Plan administrator
Date 2010-10-13
Name of individual signing KENT KLAUER
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
JERRY J PEPPING, 105 7TH ST, SILVIS, 61282, ROCK ISLAND Agent 1992-01-24

President

Name and Address Role
MARK BURGETT, 708 E 3RD, COAL VALLEY 61240 President

Secretary

Name and Address Role
MARK BURGETT, 708 E 3RD, COAL VALLEY 61240 Secretary

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 10000 1000000 No data

Date of last update: 27 Jan 2025

Sources: Illinois Office of the Secretary of State